Common Specialities
{{speciality.keyWord}}
Common Issues
{{issue.keyWord}}
Common Treatments
{{treatment.keyWord}}

Overview

Back Pain - Symptom, Treatment And Causes

What is Back pain?

Back pain or lower back pain can happen for several problems with any part of the interconnected network of spinal nerves, muscles, bones, tendons or discs in the lumber spine.

What are the causes of Back Pain?

Some of the typical causes for back pain are:

  • The small nerves on the lower back may get irritated
  • The large nerve root (sciatica nerve) that go down to the legs may get irritated
  • The large paired erector spinae muscle may get strained
  • The joints, bones or ligaments may get damaged
  • The intervertebral disc may get degenerated

Although it can happen at any age, back pain, especially lower back pain occurs in people who are in their 40s. Back pain is typically characterized by a localized pattern of discomfort in the lower back area that mostly occurs after an event that culminated in stressing the lumber tissues.

The severity of this condition, depends on a number of issues, which comprises of the degree of the strain and also the resulting spasm of the lower back muscles that occurred owing to the trauma.

Diagnosis and Treatment

Diagnosis of back pain is generally done by the doctors based on the location of the pain and history of the injury. X-ray is usually performed on the patients suffering from this ailment which helps in excluding osteological abnormalities.The most popular treatment for all kinds of back pains or lumber strains consists of resting the back to avoid subsequent injury. Apart from that reconditioning exercises are also prescribed to the patients to strengthen the back muscles along with medications to relieve pain and muscular spasms. Local heat applications are also advised to the back pain patients along with massage which is often done by certified physiotherapists.

What happens when you don't get treated on time :

In rare cases back pain can also be a sign of CES (Cauda Equina Syndrome), which is a condition that requires immediate surgical treatment.

In patients suffering from CES, something compresses their spinal nerve roots, which cause severe pain. As the cauda equine are a bundle of nerve roots which is located in the lumbosacral spine and sends messages to the brain from the feet, legs and pelvic organs, inability to provide a fast treatment, often leads to lasting damage which can lead to incontinency and also permanent paralysis of the legs.

MRI (Magnetic Resonance Imaging) scan is also prescribed at time along with a Myelogram (X-ray of the spinal cord after injecting contrast material into the spine), which aids in pinpointing the pressure point on the spinal nerves or on the spinal cord.

Can't be cured, but treatment helps Require medical diagnosis Lab test sometimes required Short-term: resolves within days to weeks
Symptoms
Leg numbness Pins and needles sensation Sensitivity to pain Muscle spasms

Popular Health Tips

Ozone Discectomy For Disc Prolapse!

MBBS, MD, FIMSA, FIPP
Pain Management Specialist, Delhi
Ozone Discectomy For Disc Prolapse!

Ozone local anaesthesia with strict real time radiological control, which ensures the proper placement of Ozone in the center of the disc making it shrink.

Low Sciatica and PIVD

Among working-age people, as many as 20 percent experience back symptoms at least every year. facet arthropathy, sciatica, muscle strain, sacroilitis, bulging or herniated discs and degenerative disc disease. Prolapsed intervertebral discs (PIVD) are the most common cause of low back pain associated with a defined structural Abnormality.

Patients who are not helped by weeks of conservative therapy are often referred for pain that has persisted beyond a four-week period should be referred to a multidisciplinary pain center.

Different Non Surgical Interventions Employed Successfully:

  • Epidural Steroid Inj.

  • Epidurogram & Epidurolysis.

  • Nerve root sleeve/ transforaminal Inj.

  • Intra-discal steroid inj.

  • Nucleoplasty- Thermal & Mechanical

  • Ozone Discolysis

Conventional treatment methods for back pain comprise lamminectomy/ discectomy microsurgery, endoscopic disectomy and percutaneous arthoscopic disectomy, among others. These are invasive methods and their goal is to remove or contain the protruding disc. However, these methods have occasionally demonstrated a discrete incidence of failure and/or recurrence. Outcome studies of leg pain, some left unaddressed surgically.

Understanding the need for Nano-Technology 

  1. The various treatment options have confused clinicians and investigators due to high failure rate and complications associated with different kinds of surgeries and interventions. There has been a surge of interest in the search for a safer alternative method of decompressing the nerve roots maintaining the structural stability.
  2. Another safe least invasive alternative therapy that has been receiving exposure in Europe is the use of medical Ozone (02/03 mixture) in the treatment of PIVD. Epidural steroid injection, transforaminal epidural decompressions has a high success rate (up to 85%), but chances of recurrences are there specially if these interventions are done at later stage. anaphylaxis following intradiscal chymopapain injection. Injection of Ozone for discogenic radiculopathy (low back pain with radiation to legs) has developed as a revolutionary alternative to chemonucleolysis and disc surgery .

The use of ozone revolution for treating disc diseases 

Muto suggested an intradiscal injection of Ozone for a disc Ozone injection into the intervertebral disc. After that successful outcome has been reported from various European centers. It is very important to note from those reports that complications are remarkably few. Not a serious single life-threatening complication was found even after 120,000 cases of Ozone nucleolysis, which stresses the safety of these procedures.

The most critical portion of performing any of the minimally invasive procedures is the accuracy and safe positioning of the needle (or terminal device) in the centre of the disc space. The risk in ozonucleolysis is particularly minimised, with the use of a very thin 22/25-gauge needle. It may take anywhere from 5 to 30 minutes to position a needle in the centre of the disc space under radiological guidance. Once the needle is safely placed in position, ozonucleolysis is completed in only another 2 to 3 minutes.

How does water contained within the domain of proteoglycans. The water binding capacity of the proteoglycan molecule is partially a property of its size and physical shape, but the main force that holds water to the molecule stems from the ionic, carboxyl (COOH) and sulphate (SO4) radicals of the glycosaminoglycan chains. The ozone can have a direct effect on these carboxyl and sulphate groups, breaking down some of these glycosaminoglycan chains which make up the proteoglycans. The destruction of these cross-linked structures reduces their ability to hold water therefore diminishing the size of the herniation by interferon, and tumor necrosis factor. Therefore, by reducing the inflammatory components there is a corresponding reduction in pain.

By stimulating fibroblasts & immunosuppressor cytokines 

  • Local production of Antioxidant Enzymes
  • Another action which may prove to be one of the most important is the stimulation of
  • Release of immunosuppressor cytokines like transforming growth factor, and IL-10 fibroblastic activity by ozone. Fibroblasts initiate the repair process by stimulating the deposition of collagen. Although yet to be validated, this mode of action could explain the resolution of PIVD on CT scans and the small percentage of patients who have relapses after the completion of treatment plan.
  • Ozone may have a reflex therapy effect called ‘chemical acupuncture’, breaking the chain of infection which is healed with antibiotics.

     

    In fact, over 120,000 patients have been treated successfully worldwide using the injection of medical ozone with a success rate of 80-90% and with a near nil rate of procedure-related complications. “The procedure is a safe and effective alternative to open surgical procedure. Patients get the advantage of going home after a short recovery on the same day. They generally go to work within a week and are spared prolonged absence from work and disability,” The treatment relieves pain substantially and, after two sittings, people "can go back to work under medical guidance".

    Comparison: 1. More hospital stay One day/day care 2. Complications of prolonged surgery& spine surgery is the treatment of choice for prolapsed disc (PIVD) done under local anaesthesia in a daycare setting. This procedure is ideally suited for cervical & lumbar disc herniation with radiculopathy. The total cost of the procedure is much less than that of surgical discectomy. All these facts have made this procedure very popular in European countries. It is also gaining popularity in our country due to high success rate, less invasiveness, fewer chances of recurrences, remarkably fewer side effects meaning high safety profile, short hospital stay, no post-operative discomfort or morbidity and low cost.

4669 people found this helpful

Exercises That Can Help Relieve Hip Pain!

MS - Orthopaedics, Fellowship in Sports injuries, Shoulder & Knee arthroscopy, Fellowship in Paediatric Orthopaedics
Orthopedist, Delhi
Exercises That Can Help Relieve Hip Pain!

Dealing with hip pain is a daunting task. The pain can affect even walking or sitting. While alleviating pain with pills and medication can keep off the suffering, strengthening the hips is crucial. Exercises are perfect means to stay off of hip pain. The following are some of the exercises that an individual suffering from hip pain can perform to seek relief.

  1. Lying March: This is an easy way to assuage the hip pain. Lie flat on your back. Choose a flat surface for this exercise. Bend your knees and keep your hands on the side. Stiffen your abdominal muscles, and raise one leg up to 4 inches. Hold in the position for a few seconds. Lower the leg slowly. Now do the same with the other leg. It is better to stay in this position for 30 seconds, and then move on to the other leg.
  2. Planks: Stand on all fours. Your back should be straight. Now, start with planks by raising one knee, and there should be no bending of the back. Stay in this position for 5 seconds. Then alternate the leg. Repeat at least 5 times. If you have been doing this for long and are confident, move to the advanced level. This involves raising one leg and opposite arm simultaneously. Stay in this position for 5 seconds. Then go back to all fours position.
  3. Marching on the Ball: Sit comfortably on the exercise ball. Keep your feet shoulder apart, flat on the ground. Your toes should be firm on the ground and slowly raise one heel. When you want to try an advanced level, you can raise the entire feet off the ground. Stay in this position for 10 to 15 seconds. Slowly bring the foot down and change to the other leg.
  4. Half Crunch on Ball: Sit straight on the exercise ball and keep your feet flat on the floor. Keep your arms crossed on the chest. You can also keep the arms on hips. Bend the hip and raise the toes to lean around 45 degrees back. Now, push your stomach muscles to get back to the original position. Your feet should not move during this process, only then your ab muscles and hip are strengthened.
  5. Workout for thighs: Often, it is only the affected area that we focus upon for pain relief. But one has to take care of the adjacent area too, if complete cure is what you are looking for. This is why exercising the thigh muscles is important. For this, lie on the side. Raise the leg, and try to reach a height of 6 inches. Hold for 3 to 4 seconds. Bring the leg down slowly. Repeat the same with the other side. Perform at least 3 sets of 10 repetitions. However, stop it immediately if you experience severe pain.
  6. Flexion: Lie flat on the back. Place the leg on the ground, and start bending it slowly. Wrap your arms around the leg. Shin area should be held. Slowly pull the leg to your chest. Stay in this position for 3 to 5 seconds. Do it 10 times. Now do the same with the alternate leg.
  7. Squeeze Knees: Start with rolling a soft towel. Stop when it comes to a cylindrical shape. Bend your knees as you lie back. The feet should be on the ground, and now place the towel between the knees. Squeeze the knees, and it should be hard enough to engage your butt muscles and thigh muscles in this action. Hold for 3 seconds. Release. Do again for 10 times.

When doing all these exercises, you need to be careful about two things. Always choose a flat surface to lie straight and stop immediately if you experience pain. In case you have a concern or query you can always consult an expert & get answers to your questions!

1 person found this helpful

Is Surgery The Best Option For Lower Back Pain?

MS-General Surgery, Mch-Neurosurgery
Neurosurgeon, Bhopal
Is Surgery The Best Option For Lower Back Pain?

Pain in the lower back is very annoying and there are many non-surgical options available for treating this pain. Some of the options for treatment of the lumbar pain include intake of typical medications and these include acetaminophen, narcotic drugs, NSAIDs, muscle relaxants, oral steroids and anti-depressants. Before starting any treatment it is advisable to consult a spine specialist and set up a suitable treatment program depending on your medical history and specific condition.

Non-Surgical treatments for Lower back Pain
Surgery is definitely not the best option to treat lower back pain of the lumbar spine. The main purpose of providing treatment for managing pain of the lumbar spine is to provide relief from the pain. It is through improved posture and ergonomics that further injury to the spine can be prevented. It is with rehabilitation and physical therapy that daily activities can be carried out. The common non-surgical treatments that can be carried out include use of ice or heat on the area of pain. Application of a heating pad or cold pack relieves pain and for some alternating the hot and cold packs works much better.

Manual Manipulation
Manual manipulation is a treatment done by an osteopathic doctor, qualified health professional or by a chiropractor. In this treatment pain in the lower back is reduced by reducing the pressure on the sensitive structures, by improving the blood flow, increasing the flexibility and by reducing the muscle tension.

It is very important to exercise regularly to reduce pain in the lower back. Physical therapy and exercise together work effectively well and mainly include low-impact aerobic exercises and strengthening. The other option is therapeutic massage, it is beneficial in improving the blood flow, decreases the stiffness of the body and even reduces muscle stiffness. There are epidural injections which are also used to deliver steroids. This reduces the inflammation in the affected area and provides relief.

Lifestyle Changes
Changes in the lifestyle of an individual are also beneficial in reducing lower back pain. The main lifestyle changes that must be incorporated include quitting smoking, improved posture and ergonomics, activity modifications and weight loss. In very few patients the condition of lower back pain is so severe that they cannot perform their daily activities and it is for them that surgery is a must.

Stay Away From Pain
Your back muscles and your stomach should be strong and in good shape. It is important that the right back exercises are performed every day for a few minutes to improve the abdominal and back muscles. Injury to the back can be prevented by exercises that stretch and strengthen the muscles. The best and simple preventative treatment for providing relief from back pain is definitely exercising regularly.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2148 people found this helpful

In Your Third Trimester? How Should You Take Care of Your Baby?

MBBS, MD - Obstetrics & Gynaecology
IVF Specialist, Delhi
In Your Third Trimester? How Should You Take Care of Your Baby?

Pregnancy is one of the most important period in a woman’s life. This is a time when she should indulge in the best of everything when it comes to diet, rest and exercise, depending on the recommendations of the doctor. As the pregnancy progresses, there are many myths and facts that take over. These usually reach a crescendo by the time the pregnancy reaches the third trimester. Let us find out ways and tips, which you can use to care for your baby and yourself during the third trimester of your pregnancy.

  1. Travel: This an often debated aspect that one has to consider, especially during the third trimester of one’s pregnancy. While many people say that it is not appropriate to travel during the third trimester, this really depends on the state of your health during this time. If you are suffering from problems like blood clot formation, then you may want to avoid travel as this can lead to blood clots due to long hours spent sitting in a flight or a train. Travel during the third trimester must also be avoided so as to avoid undue exposure to infections when you use public restrooms. This should be avoided, especially if you have fallen prey to infections in the beginning of the pregnancy. Also, long travel by cars should be avoided. If you have to travel, then you must stop often to stretch your legs on a regular basis.
  2. Movement of the Baby: One of the most important signs that shows you that your baby is thriving and is doing well is the movement of the fetus. This must be monitored and not ignored at all. It is important to keep in touch with your doctor regarding the number of movements that you should ideally feel during 24 hours. If you are not feeling anything close to that number, then you must have the same checked up by the doctor so that any complications may be unraveled on a timely basis.
  3. Sleeping: How you sleep also affects the health of the baby. You need to avoid sleeping on your back during the third trimester, as this can lead to oxygen supply problems. The uterus tends to become heavy during this part of the pregnancy and it can come to rest on the feotus in case you sleep on your back. This lead to a reduction or lack of the blood and oxygen supply to the baby. You should ideally sleep on your side, with a pillow to keep your legs at a proper level and support your aching back as well. You should also try and sleep on your left side as this promotes better blood flow to the baby inside.
1 person found this helpful

Back Pain - Can Surgery Help Treat It?

MBBS, MD-Medicine, DM - Clinical Immunology
Rheumatologist, Jaipur
Back Pain - Can Surgery Help Treat It?

Back pain is a common problem that most of us have suffered from. A pain anywhere in the spine- upper, middle or lower back – are all classed under the category of back pain. It’s a large category but it’s important to note that back pain can be caused due to a number of factors.

Causes
The causes of back pain can be varied because the human vertebra is composed of a complex structure of muscles, ligaments, tendons, disks and bones. Disks are cartilage-like pads that cushion the vertebrae, and problems with any of these can lead to back pain. Some of the common causes of back pain are:

  1. Changes in the bony lumbar spine
  2. Problems in discs between the vertebrae like hernias, bulges etc.
  3. Problems in ligaments around the spine and discs
  4. Due to changes in spinal cord and nerves
  5. Weakened lower back muscles
  6. Problems in abdomen and pelvic internal organs
  7. Osteoporosis
  8. Posture and lifestyle

Some of the other factors that can cause back pain are:

  • Age: You can suffer from back pain at any age but the older you get, the more your chances of getting back pain. It is significantly more common among adults aged 35 or above. Strain is the most common cause of back pain. It can be due to strained muscles, ligaments or a muscle spasm caused due to lifting something too heavy or not using the correct posture when lifting something. It can also be caused due to an abrupt and awkward movement Arthritis can also cause back pain as it may cause a narrowing of the space around the spinal cord known as stenosis. Abnormal curvature of the spine can also cause back pain.
  • Other reasons: Issues such as Cauda equina syndrome which affects the bundle of spinal nerve roots that arise from the lower end of the spinal cord and cancer of the spine or a tumour located on the spine which presses against a nerve can result in back pain. Infections of the spine or other infections such as pelvic inflammatory disease in women, bladder, or kidney infections may also lead to back pain.

Symptoms
Pain in the spine is the most common symptom of back pain. Other symptoms can be tenderness, numbness, inflammation, and pain in legs or hands. The nerves of the back could be affected by structural problems in the spine such as a bulge in the disc or herniation or disc rupture. This can press against a vital nerve which controls muscles in arms and legs, causing pain.

Treatment

  • Back pain can usually be managed with over-the-counter (OTC) painkillers and by applying a hot compress or an ice pack to the area to relieve pain.
  • Resting also helps.
  • A change in lifestyle especially by improving body posture while using the computer at work, will be effective.

If the first line of treatment doesn’t work, doctors would prescribe

  1. NSAID Medication: These are non steroidal anti-inflammatory drugs such as Codeine or hydrocodone which are prescribed for short periods
  2. Physical therapy: This therapy uses the application of heat, ice, ultrasound and electrical stimulation to the back muscles and soft tissues to help alleviate pain. A physical therapist would suggest flexibility and strength exercises for the back and abdominal muscles. They would also suggest ways to improve posture and hence reduce back pain.
  3. Cortisone injections: In severe cases, back pain sufferers would be given cortisone injections in the epidural space, which is the space around the spinal cord, to reduce pain by reducing inflammation.
  4. Surgery: This is useful for treating herniated discs, ruptured discs or a bulge. Tumours are also removed surgically to treat back pain.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4689 people found this helpful

Popular Questions & Answers

My husband, aged 34 yrs, has back pain which heals after taking pain killer for 3-4 days. MRI report showed compressive myelopathy at c4-c5 and and straightening of cervical lorditic curvature. Please suggest for remedial steps. Is surgery the only way for this.

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopaedics, DNB - Ortho, Fellowship In Knee Replacement & Arthroscopic Surgery ( Knee & Shoulder )
Orthopedist, Mumbai
MRI is showing problem myelopathy in neck region and your husband has back pain. You need to get x ray of back. 80-90% of lower back problem do not require surgery.
1 person found this helpful

I'm an unmarried male aged about 40- Experiencing pain around the waist at the left half of the back for few days. What could be the cause?

MS- Orthopedics, Fellowship in arthroplasty & reconstructive surgery, Fellowship in Arthroplasty and Reconstructive Orthopaedic Surgery, Fellowship in arthroscopy & sports medicine
Orthopedist, Bangalore
There are lot of causes of back pain may be orthopedic or non orthopedic related. One sided low back and waist pain can be due to muscle strain and also can be due to renal or uretric colic also commonly. If pain is sharp and dos not change with back position its mostly calculi [ stones] orelse it could be a very commom problem ls strain. Needs rest and later low back exercise along with some pain killers.
2 people found this helpful

Sometimes I have experienced pain in left side of extreme Lower part of my back near hip joint. Please tell what it is? Is there any sacral disc problem?

MPT, BPT
Physiotherapist, Noida
3.Relax, and then repeat with the other leg. 4.Repeat this cycle 2 to 4 times. Lie on your back. 5.Cross your left leg over your right so that your left ankle rests on your right knee. 6.Use your hands to grab hold of your left knee and pull it gently toward the opposite shoulder. 7.Hold for 15 to 30 seconds. 8.

I give birth to daughter 7 months ago after delivery I skipped a lot in the food from 6 months I have pain in my back, leg, head and hand what is the reason for the pain.

MBBS, DGO, MD - Obstetrtics & Gynaecology
Gynaecologist, Chennai
Dear Sujata Kumari, Thanks for your enquiry. Lack of Iron, Calcium and Protein may lead to the problems, Take Iron, calcium and protein supplements.

Table of Content

What is Back pain?

What are the causes of Back Pain?

Diagnosis and Treatment

What happens when you don't get treated on time :

Play video
How to prevent Back Pain?
Few tips to prevent Back Pain
Play video
Back Pain
Few daily habits to get rid of Back Pain
Hi I am Dr. Sidharth Verma and today I will tell you about Back Pain and how to prevent back pain. So back pain is, one of the most common pain which hampers the activities of mankind and it is so common that all of us will suffer from it at some point in our lifetime.
So how can you prevent that?
You can very easily prevent back pain and most of the cases which we see in our daily practice are due to lifestyle disorders and some other factors. So as far as lifestyle is concerned. Humans, when they evolved and became erect, so their back pain is the cost they have to give; and as the back is made of very small, small bones which are known as vertebrae. This is a model of the human back, you can see there are small, small bones which make up the back and there are a lot of small intervertebral discs in between. These are the structures that provide cushion and hold the vertebrae and there are a lot of small, small joints and many nerves and structures which are coming out, therefore, the back is a very complex structure and if you do not maintain it properly then you might have back pain. Now, this is all complicated stuff. Furthur, I will tell you how to easily prevent it.
First and foremost is which you can do from day 1 is maintain adequate hydration. Human body is 70% water, and if you see the back, The back has intervertebral discs and they are 90% water. So if you are not hydrated well then you will probably have more problems.
Number 2 is to control your body weight. So it has been seen that in patients or in persons who are obese, this problem occurs more. That is, they have more back pain. The causes are many but you should try to control your weight this will result in lesser back pain.
Number 3 is proper posture while you are you are doing your jobs or in your workplace or while you are driving or you are travelling. By proper posture, I mean that you should always sit with your back straight, and not hunching forward. This is one of the techniques.
Number 4 you should avoid sitting for long period of time without taking a break. This will help you to redistribute the weight of the back to different muscles and this will avoid fatigue, thereby resulting in lesser incidence of back pain.
Number 5 is selecting ergonomic furniture. Ergonomic furniture means which is designed for your body. If you go to the market usually the furniture and the kind of furniture you will get is designed more or less for a similar kind of individual maybe 5 ft 5 inches height or maybe who is sitting for a few hours. However, in actual practice, if you see that nobody is the same so everyone is different and hence you will need to have ergonomic furniture which will be specifically designed for you or there is kind of furniture available which has lots of keys or levers with which you can adjust the height, for example, the chair or the table where you are going to sit or at your workplace, you can get it all adjusted. And it may seem very difficult but if you actually start doing it is very easy. Most of the chairs which we use in our offices, they are rolling chairs which have adjustable levers and height as well as the seat quality and backrest all of it can be adjusted. Similarly the height of the tables can also be adjusted in many cases, if not all. So you can have these ergonomic furniture and this also will help.
Another factor which is responsible for majority of back pain, is unaccustomed activity. By unaccustomed activity I mean, that if you are not used to a particular activity and you do it once then probably you will have some problems. Say for example there is a folder which is kept at a height and you want to fetch it and you stretch your hand and you stretch it so much that your back muscles and your full arms, hand has to stretch so much which is unphysiological. So in these cases, it may result in micro injuries or macro injuries and this may result in back pain. Another common example can be, while lifting heavy loads. So in our routine structure, most of the people are sitting or doing jobs which do not involve lifting of heavy loads. So if you lift some heavy load on one particular day say for example, I got something to install in my house and when that thing comes and I lift it and I try to fit somewhere then that is unaccustomed for me because I am not doing it every day. So this may result in unaccustomed stress and sprains and strains to my back and this may result in back pain. So these are how you can prevent it.
Another very common cause is sleeping on very soft mattress or sleeping for inadequate amount of time. Some people have a habit of surfing mobile phone for a long period of time and they sleep on their table chair maybe on their bed with unphysiological postures. So these will result in increased incidents of back pain. Another common cause which you can prevent is while travelling. So if you are travelling and you are driving a car for example you should adjust your seat so that your back is always upright. And while taking the support, many people ask me if it is helpful to use fancy supports that are available for the car seats. The answer is no. They will not help you. In most cases, they are just fancy items and they will not help you. However, straightening your seat will help you a lot. If you straighten your seat to a point where you are sitting independently and you are seeking only the lower back support from your seat and you are sitting on your own then probably the chances of you getting back pain are less.
Another common thing which you can apply when you are travelling is do not drive for extended period of hours like, I have seen people who drive for maybe 6 hours at a stretch so if this is done occasionally or frequently then it may result in back pain. So if you can avoid and take a break maybe around 45 minutes to an hour every 45 minutes or an hour you can stop and walk around maybe for one or two minutes or you can get out of your car or you can just get down and have a break then you can continue driving so you can drive in bits and bytes then you can travel long distances also. But please be sure to take a small break at least so that your back is not strained unnecessarily.
Another common reason why people come with this back pain are these motorcycle riders or scooter riders who are travelling these long distances throughout the day. What they often do is that they carry these bags. So they carry these bags and backpacks and they funnily carry it on one shoulder. So it will be like a strap and they will carry it on one shoulder and they will do this throughout the day and then after one month or two months they will start having a pain on one side. So this one-sided stress is one of the reasons why people have back pain. If you are not driving a vehicle, then also if you are carrying a load or a backpack or if you are a student or if you are an office goer who has to carry these laptops. Because I have often seen these laptops come in suitcases or briefcases and obviously you have to carry them with one hand. SO it is better to switch from these one handed or one sided carrying devices to devices or bags which are distributing the load equally to both shoulders and back. So that the load is distributed and there is no asymmetrical stress that is the back, on one side, is not stressed unnecessarily.
Another common reason for people who travel a lot is that their legs are not properly placed. So, in addition to the back of the seat, the height of the seat also plays a role. In majority of vehicles however, the height is not an adjustable portion. So the one thing you can do is, you can go forward or you can go backwards that is towards the steering and away from the steering. This mechanism is available for most of the cars or most of the vehicles and with the help of this, you can have enough distance between the steering and your body so that your thighs are touching your seat till the point they can leave the seat that is until the maximum point they should be able to touch the seat. So this will again be helpful to reduce the stress on the back.
Another common cause of back pain is the lack of exercise. For exercise, I don t mean well I don t advise that you should go to the gym and lift weights or something like that. But by exercise, I mean exercises like walking. Even simple walking is one of the best exercises for back, swimming or even cycling, or even exercises for your abs. You may underestimate the importance of the exercises for your abs but you should know that abs they support the back to a great extent and weak abs or abdominal muscles are the common causes of back pain in healthy adults.
Other than these, there are causes like nutritional causes. By nutritional causes I mean the deficiency of specific nutrients in your diet. This may be deficiency of Vitamin D .This is one of the most common deficiencies which I see in my practice that most of the people who come to me with these deficiencies they are normal healthy individuals otherwise but due to some reasons, they have this Vitamin D deficiency. Many of them are non-vegetarians so it is a myth that you cannot have Vitamin deficiency if you are a non-vegetarian. So you may have deficiency of Vitamin D, which is necessary for the calcium metabolism and in the deficiency of this Vitamin you are more likely to have weak bones and this pain.
In elderly individuals, however, you may have other causes of weak bones and they may also lead to this back pain. So last but not the least, we have population which is ageing now. So we have more number of people who are above 40 years of age. In these people there are conditions known as degenerative conditions which is, due to age, the body starts degenerating. So if you don t use your body properly, it will start to degenerate. In many people, who are using the body properly also, due to genetic reasons, and environmental factors, it starts to degenerate. So in these patients there are lot of conditions that develop, and these may affect the intervertebral discs, the joints of the back, the muscles, as well as the ligaments. So these conditions can lead to the back pain in this age group, the elderly age groups that is. So these are the common causes and if you are careful enough, you can easily prevent them and help yourself to prevent your back pain. Prevention is always better than cure, so I will strongly recommend that you take my advice and follow these steps, and you are less likely to have back pain.
To know more, you can always visit my Lybrate website on www.lybrate.com/drsidharthverma or you can also visit my website www.pain.org.in. Thank You.

Play video
Chronic Back Pain
Pain Management for Chronic Back Pain
Play video
Treat Chronic Pain
Pain can be musculoskeletal like back pain, shoulder pain or knee pain. Watch out to identify yours.

I am Dr. Siddharth VermaI deal with patients suffering from chronic pain. Chronic pain is any pain which is more than 12 weeks or three months in duration and if a patient is suffering from chronic pain they require special treatment and they require physician specially trained to treat the people who have chronic pain. So this pain can be musculoskeletal, then it may be back pain or the pain of the knee. There are various structures in the back which can give rise to the pain.

I'll tell you more about it if you see our skeleton, this is a model showing the back of a human and as we can see these are the vertebral bodies or the small bones which make up the human back, and these the yellow things, these are the nerves which are coming out of the small holes which are known as the foramen.And what you see here between these two bones is a disc and this is a portion of these two bones because when a person moves he actually bends, rolls place then all this moment like this. It occurs on this joint as you can see and this disc this help us to maintain this mobility.So now what happens is with growing age this can become bulging like you can see this red buzzing portion this compresses on this root which is coming out of here. This is what may lead to the pain there may be other mechanisms also and it is very essential that qualified pain physician actually evaluates you. If you have any back pain and then physician treats you accordingly.

So there are various equipment options which are available and ranging from drugs. So you can start with drugs and go to injections in the nerve roots and then we can further do pinhole surgery. It is like we can go through the needle to that and then gradually release the patient of his or her pain.Similarly, like back pain is the treatment for those suffering from knee pain. As we can see it's also 2 bonus and then instead of the disc we have this cartilage which is present here. Muscles slide this cartilage and this thing over here is your muscle which is coming over this knee joint. If this muscle is not strong enough or if the cartilage is damaged then you may have problems with your knee.

So what do we do is that if a person comes to us with the pain of the knee then we need to access a lot of ligaments. If you see it's a very complex and complicated joint if you see there are a lot of small ligaments and it is meniscal. There is cartilage so we have to analyze where the pain is coming from, once we analyze that then we prepare accordingly. We can start with drugs, we can use substances which help to form the cartilage, we can use Prolotherapy which is a new form of regeneration therapy which helps to regenerate cartilage, or we can numb those nerves which are actually carrying this pain.So you do not worry this will not lead to any weakness.

So musculoskeletal pain after revaluation can be treated and can be managed and to get rid of your pain or to know more you can simply visit my lybrate website.
Play video
Ayurveda & Spinotherapy For Back Pain
Around 90% of people in the world suffer from back pain at some or the other point of their life. Ayurveda offers some effective back Pain Management therapies. Mostly people visit Ayurvedic clinic for treatment of Ayurvedic pain.
Having issues? Consult a doctor for medical advice